Surgical therapeutic appliance



p 8, 1951 E.SOKOLIK 2,568,566

SURGICAL THERAPEUTIC APPLIANCE Filed May 6, 1946 F1 E l 2 Sheets-Sheet 1IE 4 lNVENTOR device whereby processed air can be used Patented Sept.18, 1951 UNITED STATES PATENT OFFICE 2,568,566 SURGICAL THERAPEUTICAPPLIANCE Edward Sokolik, New Brighton, Minn. Application May 6, 1946,Serial No. 667,515

1 My present invention relates to improvements in therapeutic appliancesand more particularly to those appliances that are used in treatingdiseased body lesions or cavities. It is employed to withdrawhemorrhages, suppurations, fetid air orgas out of body lesions orcavities, such as vaginal, prostatic, rectal, abdominal and the like,and then flush, disinfect and aerate such lesions or cavities of thebody.

It is a principal object of this inv ntion to provide a therapeuticappliance whereby therapy of diseased lesions or cavities isaccomplished by .first withdrawing hemorrhages, suppurations,

fetid gas and the like, if any, and then bathing the lesions or cavitieswith therapeutic solutions and therapeutically processed air;

It is an important object of the invention to withdraw fluids from bodylesions or cavities provide in a therapeutic device means whereby theincoming and outgoing fluids used in the device for treating bodylesions or cavities may be .observed by the operator of the device;

It is a further object of this invention to provide in a therapeuticdevice means for supplying filtered, deodorized, sterilized andmedicated air to the lesions or cavities of the body;

It is one object of this invention to provide a under atmospheric orgenerated air pressure;

Other objects of the invention are simplicity and economy ofconstruction, ease and efficiency of operation, and adaptability tovarious uses.

Other objects and advantages will be apparent as the followingspecification progresses.

My invention is fully described in the following specification, of whichthe drawings accompanying same form a part, in which like characterswith aflix a in modifications refer to like parts in each of the views,and in which:

Fig. l is a schematic view of one embodiment of my invention showing theduplex receptacle for the therapeutic fluid medium and for suctioninducing fluid medium in transverse perspective re- 29 Claims. (01.128-240) spectively, the fluid feeding syringe with its crossheadfitting and the fluid suctioning and discharging artific in verticalsection, respectively.

Fig. 2 is an elevational view of the syringe showing the longitudinallycorrugated surface thereof.

Fig. 3 is anelevational view of a modified form of the syringe in Figure2 showing, partly in section, a plurality of superposed webs betweeneach two adjacent corrugations, forming pockets for collecting fluids.

Fig. 4 is an elevation of an intermediate portion at one-eighth turn ofthe syringe shown in Figure 3.

Fig. 5 is a cross-section on line 5-5 of Fig. 4.

Fig. 6 is a cross-section on line 6'- 6 of Fig. '4.

Fig. 7 is a cross-section on line 1-1 of Fig.4.

Fig. 8 is a cross-section on line 83 of Fig. 4.

Fig. 9 is a cross-section on line 9-9 of Fig. 2.

Fig. 10 is a schematic view of a modified embodiment of the invention.

Fig. 11 is a cross-section on line l|-ll of Fig. 10. Fig. 12 is a planview, partly in section, ofthe air processor, the section being taken onthe line l2-I2 of Fig. 10.

Fig. 13 is a transverse view of the air processor on the line I 3|3 ofFigure 10.

Fig. 14 is a view of the air bulb with symbols for air checks, thisstructure to be interposed in the air supply conduit 62.

Referring to the drawings:

The numeral l6 designates in general the twoway syringe or nozzle l1 andtwo-way crosshead fitting 18 connected together. The syringe l! andfitting l8 are made in two parts to permit quick disconnection forcleaning and sterilizing thereof, and for interchanging syringes adaptedfor specific uses. The fitting I8 is simple and streamlined to facilitatcleaning thereof. There are no parts which for obvious reasons areobjectionable. The nipple I9 is the only appendix, and that can bemolded integrally in the fitting.

The syringe l1 may be flexible or rigid, slender or broad, and ofvarious shapes and lengths, depending on the anatomy of the organ ornature of the lesion to which therapy is to be applied. The connectingor open end thereof is transversely plane and the free end tapered tofacilitate inserting thereof.

The generally adapted form of the syringe If! is elongated andcylindrical, the surface thereof consisting of 1ongitudinally extendingcorrugations or ridges 2| and channels or depressions 3|, in alternateradial arrangement. While four corrugations 2| and four channels 3| areshown, five of each might be preferable because five corrugations 2|could hold the tissues out of the channels 3| more effectively.Variations from two to six may be resorted to.

Formed in each of the corrugations 2| is a small fluid feeding inletconduit 28, the top end of which is open and the bottom end closed. Alarge fluid withdrawing or outlet-conduit 25 is axially formed in thesyringe the-top end of which is open and the bottom end of whichpreferably has a small withdrawing or outlet orifice formed therein, toeffectively withdraw all the fluid in the bottom of'a cavity.

The object of the corrugations 2-|-and channels 3| is to contrive anovel arrangement adapted to feeding fluids into, andsimultaneouslywithdrawing fluids from, lesions or cavities withoutinjuring the tissues by the function of suction ing. The corrugations 2|are designed to form deepchannels .31 there-between, and to affordstock'in which to form fluid-feeding conduits '28, -an'd'vvhich preventstissues from bulging into the channels- 3| V Theobject of the channels3| is to-collect fluids in'lesion's 'orcavities and vacate 'same, and toreceive "flushing "fluids and simultaneously vacate same.

Each'o f the corrugations 2| has a plurality of spaced inlet orifices 30in each of the opposed si'des2'9 thereof, communicating each inlet'condui't '2'8' with the adjacent channel 3|. The inlet orifices 3|] arepreferably angled to spray the flushing fluid into each channel 3|upwardly and outwardly to flush off'th'e diseased tissues, which "bearagainst the-corrugations 2| and are exposed to' the sprayingsolution.

From'theapex-ofeach of thechannels 3| leads aplurality-ofspaced outletorifices 2B, which are formed in the body of the'syringe'llcommunicating each channel 3| with the fiuidwithdrawing. conduit 25. Itwill be observedthat both the finlet'orificesfifi' and'outletorifices2'fi are ineach *channel 3| ,"which arrangement is novel, whereby 7 thefluids are vacated by sucti'oning; while the tis'suesareheld back by thecorrugations 2 The force of suction is satisfied 'by liquid, or air if'thereis no liquid, and not by'the tissue. This "principle couldnot'prevail if the inlet orifices'tfl and the outlet orifices 26 were"in'alternat'earrangement in the channels 3|. Inletan'doutlet orifices30 and 26, "respectively, are disposed on theffree end-portion ofsyringe l1 *for obvious "outlet tube 33. The tube 32 is provided with"internalscrew-threads 24 in the ends thereof engaging the screw-threadsof the nipple H! in the intake end and screw-"threads '22 of'thenozfz'le T1. The tube 33'enters'the tube32 through the' wall. 'Itisintegral'with the tube 32but-does "not need to be, and is projected outnormally horizo ntally -in the form-of a short handle 34. "Thie -intakeor internal end of the tube33 is disposed axially in the tube 32 and isadapted to connect with the outlet conduit 25 in the syringe H byabutting same. The tube 32 is in screwthreaded engagement with thescrew-threaded intake end of the syringe l1, and is in communicationwith all the inlet conduits 28, whichextend longitudinally in saidnozzle ll. Surplus screw-threads 22 are provided on the intake end ofthe syringe H to insure a tight joint between the'tube 33.and the outletconduit 25 This joint could be of the telescopic type. 'The main body*of the fitting i8'is made preferably of transparent material, such asglass or other material adapted to withstand sterilizing heat. Thetransparence of this-fitting It with the transparent fluid conduitextension 34 isa novelty. It affords a means,

whereby th'e' inc'oming solution and outgoing fluid are observed toascertain, when all the fluid has been withdrawn, what {the pathologicalpeculiarities thereof are, and also to aid in the focalizing of --thesyringeinthe lesion, as tlie ch'ai acter 'of the outgoing fluid, if any,may indicate whether the'syringe is correctly focalizedin the lesion'orcavity. The extension 34-serves thedua'l function of "focalizingthesyringe H and of providing a transparent facility for visualobservationof the outgoing fluidsth'erethrough. o

The modified syringe -shown;in Figs.3,-4, 596, 7 and 3 of the drawingsis provided with a -plu'- ralityof Webs 31b spaced apart'in-each channel3 l, and integral -with 'the' surface of" the "syringe -i'|, .eachforming a pocket. Each-of-fthe'webs 31.2) has an edge "correspondingtoan arcto afford an edge more effectively to hold back, together With'thecorrugations 2|, the tissues; andprevent same frombulging'into'the webpockets. Fig.7

ofthe corrugations 2|. These webs 3 I b are 'sagge'd toform fluidcollecting pockets. Adjacent-each pocket, Ipr'ov'ide' an inletorifice3|)"from at least one" o'fthe inlet conduits 28in the corrugations 2|and 'fromthe apex of each pocket into the outlet conduit .25; an outletorifice 2t. Thetincoming'fluid from inlet orifices 3i? spraysthe tissuefacing each pocket and flushes off the "tissue, the flushbeing trapped.in each pocket to prevent spreading of infection and withdrawn throughthe outlet 26 'as'fastas .thelfiushing 'fiuid is fed thereinto.Eachindividualpocket has the cycle of therapy.performedtherein,andif asuppurating tissue is in contact with a particular .pocket, the-therapy'is confined to thatjone pocket.

Fig. lO is a-modiflcationof the apparatuscomprising a simple receptacle35 for therapeutic fluid medium, in communication with the in- 'jectingartifice 61, which includes'th .sy'ringej.52

7 tion with the airprocessor-3 ib andlthe artificeit'l.

The air processoniltb should also .beiass'ociated with the apparatusshowniinlFi'gure 1. A conipres'si'blepneumatic bulbshown in Figurerl' lis interpos'edin an air inlet co'nduit '621which vcom- Inunicateswiththe fluid conduits 40,4211, ,or directly with the"fitting"| 8 or5|to cooperate with the processor 3412, [which provides processed airunder atmospheric pressure only, while the bulb shown in Figure 14provides generated processed air by manual compression'thereof to batheunder'inflation the abdominal cavity through surgical opening, withtherapeutic or processed air,

after the fetid air or gaseshave been evacuated.

This manner of therapy is beneficial to, and predischargeend thereof.When the bulb is compressed the valve 62a checks the air from re--turning into the air processor 34 and is forced out thru the valve 62band connections into the cavity being treated, and when the bulb isreleased the valve 622) checks the return into the bulb of the air fromthecavity, and the valve 62a admits processed air into the bulb from theair processor 34 under atmospheric pressure.

The air processor 34b is used cooperatively with the reservoir 38 or 35for therapeutic solutions to be fed into the lesions or cavities, and isin tubular communication with the cross-head fitting 51, and isinterposed somewhere between the nipple l9 and the valve 31.

The essentials of the air processor are: a case 53 of suitable materialwhich, of my preferred design, is cylindrical. A screw-threadedforaminous air-intake cover or cap 64, provided with a suspension eye65, engages the top of the case 63. A conical air discharge chamber orfunnel 66, provided with an air outlet spout, is formed integrally withthe bottom of the case 63, but this funnel could also be inscrew-threaded engagement with the case 63. Immediately subjacent to thecover 64 is a disk air-filtering member 61, and immediately above thefunnel chamber 66 is a medically impregnated fumigating and filteringdisk member 68 to medicate and sterilize and postfilter the outgoingair. Intermediate the members 61 and 58 are arranged a plurality,generally five, but three are shown as indicated by B9, of preferablycylindrical layers or sections of different odor or gas absorb or adsorbchemical agents. Each chemical agent is adapted to permit the air topass or flow therethrough and to absorb and adsorb certain odors orgases, therefrom more effectively, so that a combination of five agents69 will absorb all odors or gases apt to be in the nonprocessed air.

Obviously the chemical agents 69 are readily removable from the case 63for replacement and for re-activation thereof, such as charcoal, but ina small therapeutic air processor it is more expedient to replace theagents when more or less foully saturated.

The steps of processing the air are arranged in logical sequence. First,the air is filtered of all such impurities as dust, smoke, smoke grease,and the like by the air filtering member 61, through which it is forcedby atmospheric pressure, then it is forced through the series ofdeodorizing agents 69. It will be observed that the air, now beingfiltered, will not plug the porous agents; the pores or foramen arealways open and effectively permit the flowing of the filtered airtherethrough. Finally, the filtered and deodorized air is forced throughthe medically impregnated member 68 to sterilize, and m-edicate the airas desired and to filter out oxides of the chemical agents. We now havea thoroughly therapeutic processed air.

the same channel or channels.

The modified syringe combination artifice 5! includes a two-way syringe52 and a transparent two-way cross-head fitting 51. The syringe 52generally is adapted for deep canal service, such as prostatic therapy.It includes a pair of two- Way conduits, an inlet conduit 53, with aplurality of'inlet'orifices 54, and an outlet conduit 55 with "aplurality of outlet orifices 56. These conduits 53 and 55 are parallellyadjacent and separated 'bya wall extending longitudinally therebetweenand defining longitudinally along each side of its ridge, recessed inbetween the said conduits 53 and 55, preferably a pair of deep channels31a, one on each sideof the wall. The inlet conduit 53 has at the lowerend-portion a plurality of inlet orifices 54 on each side thereof incommunication with the channels 3 la. The outlet conduit has, at thelower end-portion thereof a plurality of outlet orifices 56 on each sidethereof also in communication with the channels am. The inlet conduit 53and the outlet conduit 55 may communicate with a common pocket in theend of the syringe 52 irrespective of whether they are also incommunication with thechannel or channels 3m The principle or mode ofoperation is the same through the pocket as thru the channel orchannels, since the inlet and outlet conduits communicate with the samepocket or The principle of feeding and withdrawing fluids is identicalto that of the syringe assembly I6. The upper or open end of the syringe52 may be oval in which case, it is connected by a slip-joint to thecrosshead fitting 51, but if the top end is round it may be connectedscrew-threadedly. The cross-head fitting 51 has an inlet conduit 58passing therethrough and registering with the conduit 53. This fitting51 is in the form of a T, to provide a horizontal transparent shank 34,affording a means to focalize. the syringe in a cavity or lesion and a.means for visual observation of the withdrawing fluids passingtherethrough. An outlet conduit 59 extends through the shank 34 and theconnecting portion of the fitting 51 and registers with the outletconduit 55 of the syringe 52.

The fluid feeding system 10, as shown in Figure In, comprises thereceptacle 35 in Figure In and .areservoir 38 in Figure l, fortherapeutic feeding solutions. The reservoir 38 is here shown combinedwith the reservoir 39 for suction inducing hydrant liquid in the doublereceptacle 35. The reservoirs thereof 38 and 39 are orificial in the topthereof (not shown). The feeding reservoirs 38 in Figure 1, and 35 inFigure 10 are respectively provided with an outlet 40 and 42a at thebottom thereof. In the Figures 1 and 10,

a hose conduit 42 or 42a connects the outlets 40 -or 40a with the inletconduits of the fittings i8 and 51 respectively. A valve 31 or 31aassociated with the conduit 42 or 42a controls respectively .the flow ofthe solution therethrough.

In the fluid withdrawing system 1|, in the Figure 10, is a centrifugalsuction pump 60, commuat the connecting end 50, and the conduit 41, is

connected to the suction handle 34a. The valve 46 is closed when it isdesired to inflate the abdomen through, a surgical opening therein andfll' enedrto :release; the inflation, tithe ihyd an .illQsfiwgQllduit43-,cornmunicates the suction :procin mttifice with thehydrant-reserroircfis zait the ,outlet di. The valve :45 controls theflow .of the hydrant-fimd-threugh the those con uit 43.

iliithe' operation of the appliance, j-the fluid 'iIhe'fiuidwithdrawingor suctioning system- 1|, 7

,shownin Figures 1 and 10, is disposed below the horizontal plane of theartifice I6, that is, the

horizontal plane of the .lesion or cavitytreated, .to'peffectivelysuction, with the aid of gravity,

. the outcoming fluids. 7

- .Eirslt, all, the valves 31'-.4546 .areiclosed, then the therapeuticsolution is .pouredinto reservoir filinFigure 1 or 35 in Figure 10.InFigure' 1, which shows a receptacle hydrant, the suction producingliquid is poured into reservoir .39.

The apparatus is now ready to function, and it shall be operatedaccording to what it is ito -do.

ifithe'treatment is to becompound, that is, :if'

:reservoir'39, through the hose conduit 43, the

tube conduit .48,. and out to drain 44. As the hy- .drant fluid. flowseccentrically around the-Venturi'end 5| of the suction tube 49, a vacuumis created there, inducing a syphonic flow-of-the hemorrhage from thecavity, the hemorrhage collecting in the channels 3!, suctionallyentering the=outlet orifices 26, the outlet conduit 2 5, the outlet tube33, the outlet'hose conduit 41, the outlet'tube conduit 49, and from theVenturi end of tube 49 carried away to drain 44 by the hydrant fluid:fiowing through tube '48. When the outcoming flow of the withdrawalfluid through the transparent handle 34 or 3450 indicates that thehemorrhage has all been withdrawn and that only processed air is comingthrough the trans- ,p'arent handle 34 or 34a, forced by atmosphericpressure through the air processor 34, the bulb and connections 62, hoseconduit 42, conduit tube 32, conduits 28, inlet orifices 30 and channels3| or--3id, from which it follows the same-course as did the outcominghemorrhage, then the process'of' flushing, disinfecting, and aerating is'be- 'gun by the opening of additional valve 3T3'Ia in either Figure 1or 10, and starting the flow of the th'erapeutic solution from eitherreservoir 38 or '35 respectively, through hose conduit 42..-or 42a tubeconduit32 or 58 inlet conduits'28, or 53, inlet orifices '30 or 54channels 3|, or 3 la wherein the flushing, disinfecting and aerating ofthe ztissues facing the channels 3! or 3; is performed and the flushwithdrawn in the same sequence :as-the processed air'aforedescribed. "Ifinfiation 10f the cavity with processed air is "desired, th e valve '31or 31a'isclosed after all the fluids shall haveibeenlwithdrawn and thebulbat 6-2 comnress blraeetfuated aiter 'va v 4. s r-4.6a :isehseri-Hhfi ifllllflfflfil5 11 31955 one a ubstitut. f the ravitationel hyd antfluid s ste sho e. Fi ure 1.1, a reservoir, condu t Y 3 a d uct erfittingil iihut a :iau t hydra is en r l y more convenient andsatisfactory th n. ither hi the aiorementioned systems. The .faiwethydran sub titutes the reservoir-'39 an ope 0.0.0.1 ieratively with thesuc i n fittm 1.5-

It might be stated that the function of the valve tfirlorr lfia' :is toclo e the conduit 41 cr 41@i0n1y when the apparatuses used to perform-the rune- :tionuof {inflation by :zmanuallyf actuatingath 'rbnlbat';62, .and-,-again opened toreleaseatheainflati n.

it :to :be understood that preferred formspi imyainvention are herein-shown and described;

shirt that zyarious changes .in' shape, size a d arrangement of partsmay .be resorted to without departing-from the spirit of my inventiontor-the .scope :of the appended claims.

Whatl .claim :is

1:. iln'aatherapeutic apparatus of the class described, wherein"afiuidieeding 'means, cooperates with the =fiuid feeding conduit of atwo-way cross-head fitting provided with a two-way syringethecombination. of an .airiprocessin means-communicating with the feedingconduit of the cross-head fitting, providing processed air underatmospheric. pressure, and comprising :the combination and arrangementof: a case having anuair-intake'end and a processed. air-discharge end,which is providedzwitha chamber having an airoutlet, to receive and todischarge the processed air; anairfiltering means in the intake end ofthe case; at least three different odor ior gas absorb and adsorbchemical agents arranged in series subjacent 'to the air filtering.means to deodorize the filteredair, each of said chemicalagents-beingadapted to permit the passing -of 1 air therethrough and toabsorb and adsor-b specific gases or odors moreefiectively; a meansdisposed subjacent to the chemical agents and adapted to be impregnatedwith'therapeutical ingredients to fumigate the filtered and deodorizedair andadapted to postfilter the oxides of the chemical agents,therefrom.

2. In-a therapeutic apparatus of the class described, wherein a fluidfeeding means cooperates with the fiuidfeeding conduit of a two-waycrosshead-fitting provided with'a two-way syringe, the

combination of an air processing means associated with an aircompression means including .a resilient air bulb having a separate airch'eck' in the airintake and air-discharge ends thereof, "and togethertherewithal communicating with the-fluid feeding conduit of the two-waycross- 'head fitting provided with a two-way-syringe, and normallyproviding processed air under atmospheric pressure, or by manipulationof the bulb of the compression means into a bodily lesion or cavity thruthe feeding conduits of said cross-head fitting and syringe, saidairchecks-openin-g in the direction of the flow -oi the air, andclosing, it the flow be reversed, the aircheck inthe air-intake endclosing-and the-aircheck inthe air-discharge andthereof opening, whenthe'bulb .is manually compressed, said air processing means comprisingthe combination andarrangement of: "a case'having an air-intake end-anda processed air-discharge end,which is provided with a chamber having anair outlet, to

receive and to discharge the processed air; an

jacent to the air filtering means to deodorize the filtered air, each-ofsaid chemical agents being adapted to permit the passing of airtherethrough and to absorb, and adsorb specific gases or odors moreeffectively; a means disposed subjacent to the chemical agents andimpregnated with therapeutical ingredients to fumigate the filtered anddeodorizedair and adapted to postfilter the oxides of the chemicalagents, therefrom.

3. In a therapeutic apparatus of the class described, wherein a fluidfeeding means cooperates with the fluid feeding conduit of a two-waycrosshead fitting provided with a two-way syringe,

the combination of an air processing means communicating with thefeeding conduit of the cross-head fitting, providing processed airunder,

atmospheric pressure, and comprising the combination and arrangement of:a case having an air-intake end and a processed air-discharge end, whichis provided with a chamber having an air outlet, to, receive and todischarge the processed air; an air filtering means in the intake end ofthe case; at least five different odor or gas absorb and adsorb chemicalagents arranged in series subjacent to the air filtering means todeodorize the filtered air, each of said chemical agents being adaptedto permit the passing of air therethrough and to absorb and adsorbspecific gases orodors more effectively; a means disposed subjacent tothe chemical agents and adapted to be impregnated with therapeuticalingredients to fumigate the filtered and deodorized air and adapted topostfilter the oxides of the chemical agents, therefrom.

4. In a therapeutic apparatus of the class described, wherein a fluidfeeding means cooperates with the fluid feeding conduit of a two-waycrosshead fitting provided with a two-way syringe, the combination of anair processing means associated with an air compression means includinga resilient air bulb having a separate air-check in the air-intake andair-discharge ends thereof, and together therewithal communicating withthe fluid feeding conduitof, the two-way crosshead fitting provided witha two-way syringe, and normally providing processed air underatmospheric pressure, or by manipulation of the bulb of the compressionmeans into a bodily lesion or cavity thru the feeding conduits of saidcross-head fitting and syringe, said airchecks opening in the directionof the flow of the air, and closing, if the flow be reversed, theaircheck in the air-intake end closing and the aircheck in theair-discharge end thereof opening, when the bulb is manually compressed,said air processing means comprising the combination and arrangement of:a case having an air-intake end and a processedair-discharge end, whichis provided with a chamber having an air outlet, to receive and todischarge the processed air; an air filtering means in the intake end ofthe case; at least five different odor absorb and adsorbing chemicalagents arranged in series subjacent to the air filtering means todeodorize the filtered air, each of said chemical agents being adaptedto permit the passing of air therethrough and to absorb and adsorbspecific gases or odors more effectively; a means disposed subjacent tothe chemical agents and impregnated with therapeutical ingredients tofumigate the filtered and deodorized air and adapted to postfilter theoxides of the chemical agents, therefrom.

5. A therapeutic apparatus for treating diseased bodylesions or cavitiesby feeding fluids from such lesions or cavities, comprising thecombination and arrangement of a two-way fluid feeding and fluidwithdrawing syringe; a twoway fluid feeding and fluid withdrawingcrosshead fitting, detachably connected to said syringe; fluid feedingsystem means in communication with the fluid feeding conduit of thecrosshead fitting and the syringe; fluid withdrawing system means incommunication with the fluid withdrawing conduit of the cross-headfitting and the syringe; an air processing means in communication withthe feeding conduit of the cross-head fitting and the syringe andproviding processed air under atmospheric pressure.

6. A therapeutic apparatus of the class described comprising thecombination and arrangement of a two-way fluid feeding and fluidwithdrawing syringe; a two-way fluid feeding and fluid withdrawingcross-head fitting, detachably connected to said syringe; fluidfeedingsystem means in communication with the fluid feeding conduit ofthe cross-head fitting and the syringe;

essing means in communication with the feeding conduit of the cross-headfitting and thesyringe; an air compression means associated with saidair processing means and including a resilient air bulb having aseparate air-check in the airintake and air-discharge ends thereof, andtogether therewithal communicating with the fluid feeding conduit of thetwo-way cross-head fitting provided with a two-way syringe and normallyproviding processed air under atmospheric pressure, or by manipulationof the bulb of the compression means into a bodily lesion or cavity thruthe feeding conduits of said cross-head fitting and syringe, saidair-checks opening in the direction of the flow of the air, and closingif the flow be reversed, the air-check in the air-intake end closing andthe air-check in the air-disway fluid feeding and fluid withdrawingcrosshead fitting, detachably connected to said syringe; fluid feedingsystem means in communicae tion with the fluid feeding conduitof thecrosshead fitting and the syringe; fluid withdrawing system means incommunication with the fluid withdrawing conduit of the cross-headfitting and the syringe; an air processing means in communication withthe feeding conduit of the crosshead fitting and the syringe andproviding processed air under atmospheric pressure; said air processingmeans comprising the combination and arrangement of a case having anair-intake end and a processed air-discharge end, which is provided witha chamber having an air outlet, to receive and to discharge theprocessed air; an air filtering means in the intake end of the case; atleast three diiferent odor or gas absorb and adsorb chemical agentsarranged in series subjacent to the air filtering means to deodorize thefiltered air, each of said chemical agents being adapted to permit thepassing of air therethrough and to absorb and adsorb specified gases orodors more effectively; a means disposed sub- J'acent to the chemicalagents and impregnated accesses with therapeuticalingredients toiii-migate the filterthe oxides of'the'chemicalagents, therefrom;

8. A therapeutic apparatus-"for treating diseased-body lesions-orcavities byfe'e'ding fluidsinto, and/or simultan'eously withdrawingfluids from such lesions or cavities, comprisingthecombination andarrangement of a two-way fluid feeding and fiuid withdrawing"syringe;atwo-' way. fluid-feedingarid fluid withdrawing cross-- different odor orgas absorbar-id adsorbing chemi' cal agents arranged series subiacentto: theair" filtering means to deodorize the filtered'aineaeh of saidchemical agents being adapted-to permit- -the passing" of airtherethrough and to absorb" and adsorb specific gases or odorsmore-encotively; a meansdisposed subjacentto the chemi cal agents andadapted to be impregnated-with therapeutical ingredients to fumigate thefiltered le -and deodorized air and adapted'td postfilter the headfitting,detachably connected tosaid syringe flui'd feeding: system"means in communication with'the'fiui'd' feeding" conduit or thecrosshead fitting and the syringe; fluid withdrawing system means incommunication 'with'the fluid withdrawing conduitof the cross-headfitting and-the syringe; "arr'air pro'cessingmeans i-ncommunicationgwith" the feeding conduitof the cross head fitting and thesyringe and providing:- processed air under atmospheric" pressure; saidair processing means comprising the combination and arrangement ofacasehavingana-irintake end-and aprocessed air 'dischargeend,

which is" provided with a chamber having v an air outlet; to"receiveand" to discha-rge the proc essed air; an air fiitering means inthe intake end ".of the case; at" least three-"different odor 7 or gasabsorb"and"adsorb chemical-agents arrangedinxseries"subiacent to the airfiltering meansto deodorizethe filtered air; each of said chemicalagents being adapted topermit the' passing of air therethrough and" to"absorb and adsorb specified gases' or' -odors' more effectively;

a "means" disposed subja'cent to "thechemicalagents and-impregnatedwith'therapeutical i-ngredients to i'umig'ate the' filtered-- anddeodorized air and adapted to postfilter -theoxides ofthe chemicalagents therefrom.

" 9': A 1therapeuticiapparatus :of the class de oxides of thechemicalagents, therefrom.

101 In a therapeuticapparatusof the class dew scribed, wherein a fluidfeeding'me'ans'cooperates with the fiuid feeding conduit ofatwo'way"crosshead fittingprovidedwith a two'sway syringe thecombination of an: air'processingmea-ns com:- municating with thefeed-ing conduit of the cross'-- head fitting, providing processed air undertatmospheric pressure, and comprising the combinaf -"tion and arrangementof acase having an :air

intake end and a processed air-discharge end," which is provided "w-ithachamber having an air" outlet, to receive andto-discharge theprocessed: air; an air filtering means in the intake-end of the case; atmost two different: odor abs'orbiarid' adsorb chemical agents arrangedin series subjacentto the air filtering means to. deodorize the:filtered air, each of said chemical agentsb'eing' adaptedto permit thepassing or air therethrough *and. to absorb and adsorb specific: gasesor: odors:

I more eiiectively; a me'ans:disposed'subjac'ent'to scribedicomprisingthercombinationand arr'angefluid withdrawing cross-headfitting;detachably 1 connected tosaid syringe fluid" feeding-- system means incommunication with the-fluid feeding conduit of'thecross hea'dfitting-and the syringe;

fiuidtwithdrawing system means in communicationwith thefiu-idwithdrawing conduit of-th'e cross-head fitting and'thesyringe;an-airproc essi'ngmeans in communication with the feeding conduit of thecross-head fittingand thesyringe;

an air compression means associated with said air processing means andincluding a-resilient air bulb having a separate air-check in theair-intake and air dischargeends thereof, and togethertherewitharcommunicating withthefluid feedingcondnit of the two=WaYcross-head 1 fitting pro vided with a two=way syringe*and--norma1-1yproviding processed air undenatmo'sphericpressure, whichmay be compressed into a bodily lesion or cavity thru the feedingnonduits of said crosshea'd' fitting "and syringe, byrepeated manualcompression-of the bulb; said air-checks opening in" the direction ofthe fiow ofthe' air, and closthe chemical agents and adapted toi beimpregnated with therapeutical ingredients tov nimigatethe filtered anddeodorized airiandeadapte'd' to "postfilter' the oxidesfof the chemicalagents,

therefrom. 11.In a therapeutic. apparatus oftthenlass described, whereina fluid-"feeding meansrooopen ates withthe fluid feeding-conduit ofsatwo-way cross-head fitting provided-with: a two-waysyr ing'e, thecombinationof air processing meansassociated with an air-compression.means in cluding a resilient airbulb' having a separate aircheck in theair-intake-and air-discharge ends thereof, and together 'therewithalicommunicat ing with the fluid feeding. conduit of the two:-

way cross-head "fitting provided with a two-way: syringe and normallyproviding. processed air under atmosphericpressure=,- or by" manipulatkmof the bulb of the compressionmeansintoabodily lesion or cavity thru thefeeding conduits of said cross-head fitting andv syringe,- saidair-checks opening in the direction ofitheifiow 'of' theuain'.

and closing if the flow be reversed; the air-check in the air-intakeendclosing-and the: air-check in the air-dischargeend thereof opening,when! the bulb is manually compressed; said: air proc essing meanscomprising the combination and arrangement of a case havinganair-intakeend and- 5 a processed air-discharge end', whichis provided with achamber having an air outlet,'to receive and to discharge the-processedair; an air filtering means in the intake end of'fihe case; at most twodifierent odor or gas absorb and adsorb chemical agents arranged inseries subjacent to" the air filtering 'means to deodorizethefiltered ineach of said chemical agents being adapted'to' permit the passing of airtherethrough andto absorb and adsorb specific gases or odorsmoreeffectively; a means" disposed subja-cent to the chemical agents andadapted to be impregnated with therapeutical ingredients to fumigate thefiltered and deod'ori'zed'air and adapted to post filter the oxides ofthe chemical agents, therefrom.

abscissa" 12. A therapeutic apparatus for treating diseased body lesionsor cavities by feeding fluids into, and/or simultaneously withdrawingfluids from such lesions or cavities, comprising the combination andarrangement of a two-way fluid feeding and fluid withdrawing syringe; atwo-way fluid feeding and fluid withdrawing cross-head fitting,detachably connected to said syringe; fluid feeding system means incommunication with the fluid feeding conduit of the cross-head fittingand the syringe; fluid withdrawing system means in communication withthe fluid withdrawing conduit of the cross-head fitting and the syringe;an air processing means in communication with the feeding conduit of thecross-head fitting and the syringe and providing processed air underatmospheric pressure; said air processing means com prising thecombination and arrangement of a case having an air-intake end and aprocessed airdischarge end, which is provided with a chamber having anair outlet, to receive and to discharge the processed air; and airfiltering means in the intake end of the case; at least five differentodor or gas absorb and adsorb chemical agents arranged in seriessubjacent to the air filtering means to deodorize the filtered air, eachof said chemical agents being adapted to permit the passing of airtherethrough and to absorb and adsorb specified gases or odors moreeffectively; a means disposed subjacent to the chemical agents andimpregnated with therapeutical ingredients to fumigate the filtered anddeodorized air and adapted to postfilter the oxides of the chemicalagents therefrom.

13. A therapeutic apparatus for treating diseased body lesions orcavities by feeding fluids into, and/or simultaneously withdrawingfluids from such lesions or cavities, comprising the combination andarrangement of a two-way fluid feeding and fluid withdrawing syringe; atwo-way fluid feeding and fluid withdrawing cross-head fitting,detachably connected to said syringe; fluid feeding system means incommunication with the fluid feeding conduit of the cross-head fittingand the syringe; fluid withdrawing system means in communication withthe fluid withdrawing conduit of the cross-head fitting and the syringe;an air processing means in communication with the feeding conduit of thecross-head fitting and the syringe and providing processed air underatmospheric pressure; said air processing means comprising thecombination and arrangement of a case having an air-intake end and aprocessed air-discharge end, which is provided with a chamber having anair outlet, to receive and to discharge the processed air; an airfiltering means in the intake end of the case; at most two differentodor or gas absorb and adsorb chemical agents arranged in seriessubjacent to the air filtering means to deodorize the filtered air, eachof said chemical agents being adapted to permit the passing of airtherethrough and to absorb and adsorb specified gases or odors moreeffectively; a means disposed subjacent to the chemical agents andimpregnated with therapeutical ingredients to fumigate the filtered and.deodorized air and adapted to postfilter the oxides of the chemicalagents therefrom.

14. A therapeutic apparatus of the class described comprising thecombination and arrangement of a two-Way fluid feeding and fluidwithdrawing syringe; a two-way fluid feeding and fluid withdrawingcross-head fitting, detachably connected to said syringe; fluid feedingsystem means in communication with the fluid feeding ing means incommunication with the feeding conduit of the cross-head fitting and thesyringe; an air compression means associated with said air processingmeans and including a resilient air' bulb having a separate air-check inthe air-intake and air-discharge ends thereof, and together Ltherewithal communicating with the fluid feeding conduit of the two-waycross-head fitting provided with a two-way syringe and normallyproviding processed air under atmospheric pressure, or by manipulationof the bulb of the compression means into a bodily lesion or cavity thruthe feeding conduits of said cross-head fitting and syringe, saidair-checks opening in the direction of the flow of the air, and closing,if the flow be reversed, the air-check in the air-intake end closing andthe air-check in the air-discharge end thereof opening, when the bulb ismanually compressed; said air processing means comprising thecombination and arrangement of a case having an air-intake end and aprocessed air-discharge end, which is provided with a chamber having anair outlet, to receive and to discharge the processed air; an airfiltering means .in the intake end of the case; at least five differentodor or gas absorb and adsorbing chemical agents arranged in seriessubjacent to the air filtering means to deodorize the filtered air, eachof said chemical agents being adapted to permit the passing of airtherethrough and to absorb and adsorb specific gases or odors moreefiectivelm a means disposed subjacent to the chemical agents andadapted to be impregnated with therapeutical ingredients to fumigate thefiltered and deodorized air and adapted to postfilter the oxides of thechemical agents, therefrom.

15. A therapeutic apparatus of the class described comprising thecombination and arrange ment of a two-way fluid feeding and fluidwithdrawing syringe; a tWo-way fluid feeding and fluid withdrawingcross-head fitting, detachably connected to said syringe; fluid feedingsystem means in communication With the fluid feeding conduit of thecross-head fitting and the syringe; fluid withdrawing system means incom- 1 munication with the fluid withdrawing conduitof the cross-headfitting and the syringe; an air processing means in communication withthe feeding conduit of the cross-head fitting and the syringe; an aircompression means associated with said air processing means andincluding a resilient air bulb having a separate air-check in'* theair-intake and air-discharge ends thereof, and together therewithalcommunicating with the fluid feeding conduit of the two-Way cross-headfitting provided with a two-Way syringe and normally providing processedair under atmospheric pressure, or by manipulation of the bulb of thecompression means into a bodily lesion or cavity thru the feedingconduits of said cross-head fitting and syringe, said air-checks openingin the direction of the flow of the air, and closing if the flow bereversed, the air-check in the air-intake end closing and the air-checkin the air-discharge end thereof opening, when the bulb is manuallycompressed; said air processing means comprising the combination andarrangement of a case having an air-intake end and a processedairdischarge end, which is provided with a chamber having an air outlet,to receive and to discharge the processed air; an air filtering means inthe intakesend of the. case; @at' mosttwo-difierent odor;

OEfEHsSJSJhSOTh and.{adsorbing-chemical agents 1am ranged. in seriessubjacent to the 1 air filtering;- means. to deodorizethe filtered;air;.-: eachlofnsaid chemical agents being 7 adapted to: permit; thepassing of. air therethroughandtoabsorb and adsorb5specific gases-orodors more-.efiectiyely; a.

means-disposed subj acent to the chemical agents.- andadapted to beimpregnated --with-.-. therapeutiealeingredientsto.fumigate the filteredand de: odorized air and adapted to. postfilter the. oxides onthechemical agents, therefrom-..

16-. In; a syringeof. the classdescribed, zanelongatedcylindrical body;having aplurality o-tlongitudinallyextending and alternating parallelchannels-andridges; arr inlet: conduit. extending, longitudinally ineach ridge, each inlet. conduit having an. open: top end; atv least.one. separate.

groupaof pluralityof outlets-in each ridge communicating. each inlet.conduit with at--. leastv one adjoining; channel; an outlet conduitinthelbody parallelto andsurrounded by the. channels; and. ridges,.saidoutlet conduit having. an-opentop. end; a. separate plurality of inlets.in the.v body communicating. .said outlet conduit. .with each .channeL.

.1.7. Inna therapeutic appliance. ofthe class. dc.-

scribed, a two-way syringe comprising an elongated cylinder-likebody-portionhaving, a .con-

necting.,.endand separate. pluraliti'eseof, radially alternatingcorrugations. and. channels. extend.- ing.paralle1ly and longitudinallytherein, .a-nddefiningthe. surface. thereof .a. tubular. inletv con duitextending longitudinally in:.-each:corruga.-

tion emerging. in, the connecting end. andv having.

aclosed lower end; a. tubular outlet.conduit.dis.- posedlongitudinallyand.axially. in the bOdYePOI. tion emerging invtheconnectingend thereof .,and

havingaclosed. lower end; a-plurality of orifices communicating eachvinlet. conduit with-at. least one of the twochannels astride eachcorrugation; and a separate plurality or orifices com municating theoutlet. conduit witheach channel. 18. The structure defined in claim 17inwhichthe'body-portion has, in addition, an orifice inthe lower endthereof communicating with the outlet conduit.

19. The structure defined in claim 17 in which the body-portion isprovided with apluralityof webs spaced apart in each channel andintegralv withthe surface of the body-portion, each. formdetachablyattached to the syringe, said syringe comprising an elongatedcylinder-like body-portion havinga. connecting end-and separate.pluralities of radially alternating, corrugationsand channels extendingparallelly and longitudinally therein and defining the surface thereof;a tubular' inlet conduit extending longitudinally. in each corrugationemerging in. the connecting end-and having a closedlower. end; a tubularoutlet con-.

duit disposed. longitudinally and axially in the body portion emergingin the connecting: end thereof and having a closed lower end; aplurality of orifices communicating each inletco-nduit with atleast oneof the two channels astride each corrugation; a separate plurality oforifices com' municating the outlet conduitwitheach channel;

1 6 andesaid; eross.-head.- fitting. comprising :a .bodyportionincluding an inlet tubular: conduit; communicatingwith. allthe. inletconduits in the.

body-portion, saidinlet conduit. hayingan en.-

- trant outlet conduit communicating with the.

outlet conduit in the body-portion and said-entrant outlet conduithavinga transparent ,shank adapted to be held in the palm of'the hand;

whereby maneuverably to apply to, and focalize the. syringe: of the.combination ina bodily lesion or cavity,- andwhereby toobserve'the-pathologicalpeculiarities of the bodily secretions. or sameflow therethrough in the.withdrawalthereof. 7

21. In; a. therapeutic-appliance of the .classdescribed for useincombination-witha suction.

means anda fluid. supply means,. a detachably combined two-way nozzleand a two-way crosshead fitting;.said two-way nozzle comprisingl ai.slender. bodyportion having an end adapted-ion detachable connection tosaid" twowaycross head fitting, an inlet conduit and'anoutlet-con.-duitextend-ing parallel from the detachableend throughout the major partof the body portion,

eachoonduit having. anorifice insaid detachable end-,.a-channe1 formedlongitudinally in the outer. surface of the body-portion, on one side*thereof m'edially" between the conduits, a pluralityof orifices-leadingfromthe. inletconduit to the. channel-,,.anda plurality of orificesleading from-said? channel-to the outlet conduit; and; said two-way.cross-head'fitting havingseparate inlet and outlet: conduits extending.therethrough. and communicating with the COIIESDOI'lCliHgg-T-GOHdHitS0f. thenozzle, said-outlet conduit emerginggfrom the fitting in the formof a transparent tubular.-

shank adapted to communicate.- with the; suction means, and serving as ahandle whereby tovapply' the nozzle; to a bodily 1esion,;or cavity,and,;.a-s

means for. observing-the fluids as same-are being." withdrawn throughsaidtransparent-shank", and said, inlet. conduit being adapted tocommunicate with the; fluid: supply means.

"22-. The structure defined. in cl'aim:-2.l,-. inwhich the body-portion,has a channel formediiongi tudina-lly in.- the" surface of saidbody-portion on both sidesthereof. medially between the-conduits.

. 23. Ina therapeutic; appliance of theclass-fie scribed,.-a two-waynozzle comprising anelongatedslender body-portion; aninlet conduit and;

anvoutlet-conduit extending in, parallel relationashipwith the bodyfromone end throughoutthemajor. partv of the-.body portion, oneor morepockets formed inthe outer'surface of the bodyportion, a separateorificeleading through the body'portion from'the inletconduit to a pointon-said surfaceadjacent to each: of said one or;

more pockets, anda separate orificeleading from. each; ofsaid one ormore: pockets tothe. outlet conduit.

24. Inatherapeutic appliance of the class. de-

scribed for use in. conjunction with a, suction means-rand a fluidsupply means; a detachabld combined. two-way nozzle and atwo-waycrosshead *fitting, said two-way nozzle, comprisinga...

slender body-portion having. amend adapted; for

detachable. connection tov said two-way crosshead fitting, an inletconduit and-anv outlet con-- duit extending adjacently in. thebody-portion from the-lower endthereof, each-conduit having;

anorifice in the. detachable end, .one .or more,.

pockets formed in: the. outer surface of the body portion, .a. separateorifice, leading-throughsaid body portion from the inlet'cond-uit to a,point omthe: bod-y 'portion outer, surface. adjacent toya 1A7 separateorifice leadingfrom each of said one or more pockets to the outletconduit; said two-way cross-head fitting having separate inlet andoutlet conduits extending therethrough and communicating with thecorresponding conduits of the nozzle, said outlet conduit emerging inthe conduit being adapted to communicate with the fluid supply means.

25, In a device of the class described for use in combination with asuction means having a suction conduit and a fluid supply means, adetachably combined elongated two-way nozzle and a two-way cross-headfitting, said nozzle having inlet conduit means and outlet conduit meansextending within the nozzle and in parallel relation with each otherthroughout the major portion thereof, said fitting being detachablyconnected to one end of said nozzle, said inlet conduit means and saidoutlet conduit means having orifices in said detachable end, depressionmeans in the surface of the nozzle; orificial means leading from theinlet conduit means to the depression means; and orificial means leadingfrom the depression means to the outlet conduit means; and said two-waycross-head fitting including inlet conduit communicating with the inletconduit means of the nozzle, outlet conduit communicating with theoutlet conduit means of the nozzle, said outlet conduit of the fittingemerging in the form of a transparent tubular shank, adapted tocommunicate with the suction conduit of a suction means, and adapted tobe held in the palm of the hand to apply the nozzle to bodily lesions,or cavities, and to focalize said nozzle therein, and adapted forvisually observing the bodily secretions for pathological peculiaritiesas same are being suctioned through said transparent shank while saidshank is being held in the hand, and said inlet conduit being adapted tocommunicate with a fluid supply means.

26. In a therapeutic appliance of the class described, the combinationand arrangement of a two-way-syringe and a two-way cross-head fittingdetachably attached to the syringe, said syringe comprising an elongatedcylinder-like body-portion having a connecting end and separatepluralities of radially alternating corrugations and channels extendingparallelly and longitudinally therein and defining the surface thereof;a tubular inlet conduit extending longitudinally in each corrugationemerging in the connecting end and having a closed lower end; a tubularoutlet conduit disposed longitudinally and axially in the body portionemerging in the connecting end thereof and having a closed lower end; aplurality of orifices communicating each inlet conduit with at least oneof the two channels astride each corrugation; a separate plurality oforifices communicating the outlet conduit with each channel; and saidcross-head fitting comprising a body-portion including an inlet tubularconduit communicating with all the inlet conduits in the body-portion,said inlet conduit having an entrant outlet conduit communicating withthe outlet conduit in the body portion and said entrant outlet conduithaving a transparent shank adapted to be held in the palm of the hand;whereby maneuverably to apply to, and fooalize the syringe of thecombination in a bodily lesion or cavity, and whereby to observe thepathological peculiarities of the bodily secretions or fiuids'as sameflow therethrough in the withdrawal thereof, each said channel having aplurality of spaced apart webs therein integral with the surface of thebody-portion and forming pockets; at least one orifice communicatingeach pocket with at least one of the two inlet conduits provided astrideeach pocket and a separate orifice communicating the outlet conduit witheach pocket.

27. In a device of the class described for use in conjunction withasuction means and a fluid supply means, a detachably combined elongatedtwo-way nozzle and a two-way cross-head fitting, said nozzle shaving aplurality of angularly spaced longitudinally extending inlet conduitsand longitudinally extending channels extending in the outer surface ofthe nozzle between each two adjacent inlet conduits; an axiallyconcentric outlet conduit, each inlet conduit and said outlet conduitextending from. end to end of the nozzle, one end of said nozzle beingdetachably combined with the cross-head fitting; a plurality of orificesleading from at least one of each two inlet conduits adjacent eachchannel; a separate plurality of orifices leading from each channel tothe outlet conduit; and said twoway cross-head fitting having an inletconduit adapted to communicate with all the inlet conduits of the nozzleand with the fluid supply means at the upper end thereof, and an entrantoutlet conduit adapted to communicate with the outlet conduit of thenozzle, said entrant outlet conduit emerging from the fitting in theform of a transparent tubular shank adapted to communicate with thesuction conduit of the suction means, said shank being adapted to beheld in the palm of the hand to apply the nozzle to bodily lesions, orcavities, and to focalize said nozzle therein, and adapted for visuallyobserving the bodily secretions for pathological peculiarities as sameare being suctioned through said transparent shank, while said shank isbeing held in the hand.

28. In a device of the class described, in combination, a two-way crosshead fitting containing an inlet passage which at one end is adapted forconnection to a fluid supply and an outlet passage which at one end isadapted for connection to a source of fluid suction, both. of saidpassages terminating in a common outlet end of the fitting, and atwo-way nozzle consisting of a slender linear body containing inlet andoutlet passages extending parallel throughout the major portion of thebody, means on one end of the nozzle cooperable with the outlet end ofthe cross head fitting for detachably connecting the same to the crosshead fitting whereby the inlet and outlet passages in the nozzle are incommunication with the inlet and outlet passages in the cross headfitting, said nozzle having a first orifice extending transverselythrough a portion of the nozzle into the inlet passage to permit egressof fiuid from the inlet passage to a body cavity, a recess formed in theouter surface of the nozzle for collecting fluid from the body cavity,and a second orifice extending through a portion of the nozzle andconnecting the interior of the recess with the outlet passage forconducting fluid from the recess to the outlet passage.

29. In a device of the class described, a twoway nozzle consisting of aslender linear body of substantially uniform diameter throughout

